Forms & Reports
Unclaimed Property
Reports
For Use by State Agencies
Forms
Forgery Forms

Due to the nature of the Forgery Forms these must be printed and filled out by hand.

Reports
LOST OR STOLEN WARRANT INSTRUCTIONS
Neb. Rev. Stat. § 77-2215
Lost Warrant Affidavit - PDF
  1. Contact agency that issued the warrant.
  2. If agency is not known, contact the Treasury Management Division of the Treasurer’s Office who will help you locate the agency.
  3. Fill out Lost Warrant Affidavit and be sure your signature is notarized.
  4. Present affidavit to agency that issued the warrant. Note: Some agencies may have their own affidavits for you to complete.
EXPIRED WARRANT INSTRUCTIONS

A claim for an expired warrant must be filed with Administrative Services Risk Management. The two-page form, titled Claim for Injury or Damage, can be downloaded from the Risk Management website at:

http://das.nebraska.gov/risk/docs/2014/Claim%20for%20Injury%20or%20Damage-Risk%20Management_WEB.pdf

A warrant is expired when it has not been cashed within one year of the date of the warrant. A claim must be filed in order for the warrant to be reissued. The form must include your original signature and required documentation. Mail the original, signed claim form to the following address:

Risk Management Division
State Claims Board
P.O. Box 94974
Lincoln, Nebraska 68509-4974

For information, contact Risk Management at 402-471-2551.

LOST FEDERAL REFUND CHECKS
Internal Revenue Service Refund Inquiries
800-829-1954 (toll free)
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